| Searhc Haines Mountainside Behavioral Health | |
|
230 Dalton Street Ste 135 Haines AK 99827 | |
| (907) 766-6313 | |
| Not Available |
| Full Name | Searhc Haines Mountainside Behavioral Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 230 Dalton Street, Haines, Alaska |
| Authorized Official Name and Position | Daniel Harris (VP/CFO) |
| Authorized Official Contact | 9074634000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Searhc Haines Mountainside Behavioral Health 3100 Channel Dr Ste 300 Juneau AK 99801-7837 Ph: (907) 463-4074 | Searhc Haines Mountainside Behavioral Health 230 Dalton Street Ste 135 Haines AK 99827 Ph: (907) 766-6313 |
| NPI Number | 1679119820 |
|---|---|
| Provider Enumeration Date | 11/22/2019 |
| Last Update Date | 07/27/2021 |
| Certification Date | 07/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679119820 | NPI | - | NPPES |
| 1704797 | Medicaid | AK | |
| 70206 | Other | AK | STATE OF ALASKA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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